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General NPI Number Information
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NPI Number | 1538084777
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Entity Type | Organization
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Legal Business Name | CAINS DRUG STORE INC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1401 N 8TH ST
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City | VANDALIA
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State | IL
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Zip | 62471-1028
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Country | US
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Telephone | 618-283-0196
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Fax | 618-283-9150
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Provider Business Mailing Address
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Address Line | 1401 N 8TH ST
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City | VANDALIA
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State | IL
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Zip | 62471-1028
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Country | US
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Telephone | 618-283-0196
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Fax | 618-283-9150
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DARRYL PAUL TJADEN
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Credential | RPH
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Telephone | 618-283-0196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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